Healthcare Provider Details

I. General information

NPI: 1538691779
Provider Name (Legal Business Name): MELISSA NEWLIN LPCC-S, LPAT, ATR-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1360 DORSH RD
SOUTH EUCLID OH
44121-3878
US

IV. Provider business mailing address

1360 DORSH RD
SOUTH EUCLID OH
44121-3878
US

V. Phone/Fax

Practice location:
  • Phone: 937-239-1404
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2102122
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License NumberART.24000097
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: